PHILLIPS MOBILE LABS LLC NPI 1053178558

NPI Information

  • NPI: 1053178558
  • Provider Name: PHILLIPS MOBILE LABS LLC
  • Classification: Pharmacy Technician - 183700000X
  • Entity Type: Organization
  • CLIA Number: 03D2299129
  • Address: 2942 N 24TH ST STE 114
    PHOENIX, AZ
    ZIP 85016
  • Phone: (866) 467-5227

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NPI Details

PHILLIPS MOBILE LABS LLC is a pharmacy technician in Phoenix, AZ. The provider is a person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. PHILLIPS MOBILE LABS LLC NPI is 1053178558. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2942 N 24TH ST STE 114
PHOENIX, AZ
ZIP 85016-849
Phone: (866) 467-5227
Fax: (602) 584-5784

The provider's authorized official is Nytisha Marie Davis .
The authorized official title is Owner and has the following contact phone number (610) 245-7838.

The CLIA number assigned to this NPI record is 03D2299129 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2024 and was last updated on 3/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246RP1900XTechnician, PathologyPhlebotomyNo
2251E00000XHome HealthNo
3253Z00000XIn Home Supportive CareNo
4261QH0100XClinic/CenterHealth ServiceNo
5374U00000XHome Health AideNo
6376K00000XNurse's AideNo
7183700000XPharmacy TechnicianYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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